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Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT
Abstract
Summary Bariatric surgery (BS) is rated as the best evidence based treatment for obesity with regard to weight loss and maintenance of weight loss evaluated to date. Although BS interventions are effective, 20-30% of BS patients start to regain weight within 24 months. Emotional eating is a behavior pattern which has been found to predict poor outcome. The aim of this study is to evaluate the effects of acceptance and commitment therapy (ACT) for patients who underwent BS, with regard to emotional eating, body dissatisfaction and quality of life. This study is a randomized controlled trial (n = 39) with two conditions (1) ACT including two face-to-face sessions and support via an Internet application and (2) treatment as usual (TAU) comprising the standard follow-up used by the BS team. Results show that participants in the ACT condition significantly improve on eating disordered behaviors, body dissatisfaction, quality of life and acceptance for weight related thoughts and feelings, as compared to those in the TAU group. This study shows that it is possible to improve effects of BS by specifically targeting emotional eating behavior.:
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“Over the years, ACT has been successfully applied in various pathological conditions, including obesity management both in adult and young populations [20–22].”
In the citing paper
“A total of 8 studies used a blended ACT program involving both iACT and in-person ACT sessions [20-27].”
In the citing paper
“Similarly, a randomized study of an internet-based acceptance-based intervention targeting disordered eating post-surgery improved emotional eating after six weeks.28”
From A Mindfulness-Based Intervention to Control Weight After Bariatric Surgery: Preliminary Results From a Randomized Controlled Pilot Trial (2016) · cites this paper as [28]
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1 of the 57 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- House of Commons Health Committee. Obesity. Third report of session 2003–2004, vol. 1. London: The Stationery Office Limited.
Cited by
Sorted by citations
The efficacy of Acceptance and Commitment Therapy: An updated systematic review and meta-analysis
Öst, L.-G. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.07.018 · Cited by 476
Mindfulness-based interventions for binge eating: A systematic review and meta-analysis
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“…DEBS, formerly called the Subjective Binge Eating Questionnaire for Bariatric Surgery Patients, which is a self-report measure they developed for assessing binge eating behavior in a post-bariatric surgery population that they report had reasonable psychometric properties (Weineland et al., 2012a).”
BackgroundMethodRogers, J. M., Ferrari, M., Mosely, K., Lang, C. P., & Brennan, L. (2017) · Obesity Reviews · doi:10.1111/obr.12461 · Cited by 214
“Two papers reported on the same study; the first reported pre-post data (53), and the second reported 6-month follow-up data (41).”
BackgroundResultInfluentialThompson, E. M., Destree, L., Albertella, L., & Fontenelle, L. F. (2021) · Behavior Therapy · doi:10.1016/j.beth.2020.07.002 · Cited by 177
Ruffault, A., Czernichow, S., Hagger, M. S., Ferrand, M., Erichot, N., Carette, C., Boujut, E., & Flahault, C. (2017) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2016.09.002 · Cited by 173
“The five trials that measured binge eating used four different self-reported outcomes [31, 56, 61, 62, 64].”
Influential
Metadata
- Authors
- Weineland, S., Arvidsson, D., Kakoulidis, T. P., & Dahl, J.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Weineland, Sandra
- Venue
- Obesity Research & Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 6
- Issue
- 1
- Pages
- e21-e30
- ISSN
- 1871-403X (ISSN-L)
- OpenAlex
- W2092181171
- Cited by
- 148
- References
- 57
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 4 · 2023: 5 · 2022: 26 · 2021: 12 · 2020: 15 · 2019: 10 · 2018: 15 · 2017: 8 · 2016: 10 · 2015: 12 · 2014: 7 · 2013: 5 · 2012: 5
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Research & Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- acceptance and commitment therapy, bariatric surgery, obesity, emotional eating, body dissatisfaction, quality of life, weight regain, online psychological intervention, disordered eating
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